BARKLEY 3PS / HOME HEALTH AIDE COMPETENCY REVIEW
EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | ALREADY GRADED A+||BRAND NEW
VERSION!!
DOMAIN 1: CLIENT CARE & PERSONAL HYGIENE (Questions 1-50)
1. When providing a bed bath to a client, which of the following areas should be
washed first?
A. The back
B. The face
C. The feet
D. The perineal area
Correct Answer: B
Rationale: You should always wash the cleanest areas first to prevent the spread
of bacteria. The face is washed first, followed by the upper body, then the legs,
back, and finally the perineal area (which is the dirtiest).
2. A client is on strict bed rest. How often should the HHA reposition the client
to prevent pressure ulcers?
A. Every 30 minutes
B. Every 2 hours
C. Every 4 hours
D. Only when the client complains of discomfort
Correct Answer: B
Rationale: Standard protocol for bed-bound clients is to reposition them at least
every 2 hours. This relieves pressure on bony prominences and maintains
circulation.
3. When assisting a client with oral care who has dentures, what should the HHA
do?
1
,A. Use hot water to clean the dentures
B. Line the sink with a washcloth and fill it with water before cleaning
C. Use toothpaste on the dentures
D. Clean the dentures only once a day
Correct Answer: B
Rationale: Dentures are slippery and can break if dropped. Always line the sink
with a towel or washcloth and fill it with water to cushion the fall if they slip. Hot
water can warp dentures; use cool or lukewarm water.
4. Which of the following is a sign of a pressure ulcer forming?
A. Redness on the skin that does not blanch (turn white) when pressed
B. Warm, dry skin
C. Increased appetite
D. Hair loss on the legs
Correct Answer: A
Rationale: Non-blanchable redness is the first stage of a pressure ulcer. It indicates
tissue damage due to pressure.
5. When shaving a client with a safety razor, the HHA should:
A. Shave against the direction of hair growth
B. Use cold water
C. Pull the skin taut and shave in the direction of hair growth
D. Apply alcohol after shaving
Correct Answer: C
Rationale: Shaving in the direction of hair growth prevents irritation and cuts
(razor burn). Pulling the skin taut creates a smooth surface.
6. A female client requires perineal care. The HHA should wash:
A. From back to front
B. From front to back
C. In a circular motion
D. From the rectum to the urethra
2
,Correct Answer: B
Rationale: Washing from front to back prevents bacteria from the anal area from
entering the urethra, which can cause urinary tract infections (UTIs).
7. How should the HHA treat a client who is choking and cannot speak or cough?
A. Give them water
B. Perform abdominal thrusts (Heimlich maneuver)
C. Lay them flat on the floor
D. Slap them on the back
Correct Answer: B
Rationale: If a person cannot speak, cough, or breathe, the airway is completely
obstructed. Abdominal thrusts are the standard first aid to dislodge the object.
8. Which client is at the highest risk for falls?
A. A client who uses a walker correctly
B. A client taking diuretics (water pills) and sedatives
C. A client who has a hearing aid
D. A client who eats a high-fiber diet
Correct Answer: B
Rationale: Diuretics can cause frequent urination (urgency) and sedatives can
cause drowsiness and confusion, both of which significantly increase fall risk.
9. When transferring a client from the bed to a wheelchair, the HHA should:
A. Lock the wheelchair brakes and swing the footrests out of the way
B. Leave the brakes unlocked in case the chair needs to move
C. Place the wheelchair far away from the bed
D. Lift the client by the armpits
Correct Answer: A
Rationale: Always lock the brakes to prevent the chair from moving. Swing
footrests away to prevent tripping. Lifting by armpits can cause injury to the
client's shoulders.
10. The best way to prevent the spread of infection is:
A. Wearing gloves at all times
3
, B. Hand washing
C. Using hand sanitizer only
D. Wearing a mask
Correct Answer: B
Rationale: Hand washing with soap and water is the single most effective way to
prevent the spread of infection.
11. A client has an order for "NPO." This means:
A. Nothing by mouth
B. As needed
C. Every hour
D. Force fluids
Correct Answer: A
Rationale: NPO stands for Nil Per So, which is Latin for "nothing by mouth." The
client should not eat or drink anything.
12. When taking a client's temperature orally, how long should the thermometer
remain in place if using a glass thermometer?
A. 30 seconds
B. 3 minutes
C. 10 minutes
D. 1 minute
Correct Answer: B
Rationale: While digital thermometers beep quickly, a standard glass oral
thermometer requires approximately 3 minutes to register an accurate
temperature.
13. Which of the following is a normal pulse rate for an adult?
A. 30-50 beats per minute
B. 60-100 beats per minute
C. 120-150 beats per minute
D. 150-180 beats per minute
4
EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | ALREADY GRADED A+||BRAND NEW
VERSION!!
DOMAIN 1: CLIENT CARE & PERSONAL HYGIENE (Questions 1-50)
1. When providing a bed bath to a client, which of the following areas should be
washed first?
A. The back
B. The face
C. The feet
D. The perineal area
Correct Answer: B
Rationale: You should always wash the cleanest areas first to prevent the spread
of bacteria. The face is washed first, followed by the upper body, then the legs,
back, and finally the perineal area (which is the dirtiest).
2. A client is on strict bed rest. How often should the HHA reposition the client
to prevent pressure ulcers?
A. Every 30 minutes
B. Every 2 hours
C. Every 4 hours
D. Only when the client complains of discomfort
Correct Answer: B
Rationale: Standard protocol for bed-bound clients is to reposition them at least
every 2 hours. This relieves pressure on bony prominences and maintains
circulation.
3. When assisting a client with oral care who has dentures, what should the HHA
do?
1
,A. Use hot water to clean the dentures
B. Line the sink with a washcloth and fill it with water before cleaning
C. Use toothpaste on the dentures
D. Clean the dentures only once a day
Correct Answer: B
Rationale: Dentures are slippery and can break if dropped. Always line the sink
with a towel or washcloth and fill it with water to cushion the fall if they slip. Hot
water can warp dentures; use cool or lukewarm water.
4. Which of the following is a sign of a pressure ulcer forming?
A. Redness on the skin that does not blanch (turn white) when pressed
B. Warm, dry skin
C. Increased appetite
D. Hair loss on the legs
Correct Answer: A
Rationale: Non-blanchable redness is the first stage of a pressure ulcer. It indicates
tissue damage due to pressure.
5. When shaving a client with a safety razor, the HHA should:
A. Shave against the direction of hair growth
B. Use cold water
C. Pull the skin taut and shave in the direction of hair growth
D. Apply alcohol after shaving
Correct Answer: C
Rationale: Shaving in the direction of hair growth prevents irritation and cuts
(razor burn). Pulling the skin taut creates a smooth surface.
6. A female client requires perineal care. The HHA should wash:
A. From back to front
B. From front to back
C. In a circular motion
D. From the rectum to the urethra
2
,Correct Answer: B
Rationale: Washing from front to back prevents bacteria from the anal area from
entering the urethra, which can cause urinary tract infections (UTIs).
7. How should the HHA treat a client who is choking and cannot speak or cough?
A. Give them water
B. Perform abdominal thrusts (Heimlich maneuver)
C. Lay them flat on the floor
D. Slap them on the back
Correct Answer: B
Rationale: If a person cannot speak, cough, or breathe, the airway is completely
obstructed. Abdominal thrusts are the standard first aid to dislodge the object.
8. Which client is at the highest risk for falls?
A. A client who uses a walker correctly
B. A client taking diuretics (water pills) and sedatives
C. A client who has a hearing aid
D. A client who eats a high-fiber diet
Correct Answer: B
Rationale: Diuretics can cause frequent urination (urgency) and sedatives can
cause drowsiness and confusion, both of which significantly increase fall risk.
9. When transferring a client from the bed to a wheelchair, the HHA should:
A. Lock the wheelchair brakes and swing the footrests out of the way
B. Leave the brakes unlocked in case the chair needs to move
C. Place the wheelchair far away from the bed
D. Lift the client by the armpits
Correct Answer: A
Rationale: Always lock the brakes to prevent the chair from moving. Swing
footrests away to prevent tripping. Lifting by armpits can cause injury to the
client's shoulders.
10. The best way to prevent the spread of infection is:
A. Wearing gloves at all times
3
, B. Hand washing
C. Using hand sanitizer only
D. Wearing a mask
Correct Answer: B
Rationale: Hand washing with soap and water is the single most effective way to
prevent the spread of infection.
11. A client has an order for "NPO." This means:
A. Nothing by mouth
B. As needed
C. Every hour
D. Force fluids
Correct Answer: A
Rationale: NPO stands for Nil Per So, which is Latin for "nothing by mouth." The
client should not eat or drink anything.
12. When taking a client's temperature orally, how long should the thermometer
remain in place if using a glass thermometer?
A. 30 seconds
B. 3 minutes
C. 10 minutes
D. 1 minute
Correct Answer: B
Rationale: While digital thermometers beep quickly, a standard glass oral
thermometer requires approximately 3 minutes to register an accurate
temperature.
13. Which of the following is a normal pulse rate for an adult?
A. 30-50 beats per minute
B. 60-100 beats per minute
C. 120-150 beats per minute
D. 150-180 beats per minute
4
